Coronary angiography findings and outcomes of percutaneous coronary interventions in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
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Date
2020-12
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Addis Abeba University
Abstract
Background: Some hospital based studies showed that CAD is a major cause of mortality and
morbidity and the incidence of CAD is increasing in middle and low income countries like
Ethiopia even though there is no country wide study done.
Objective: The purpose of this study is to describe the coronary angiography findings and
outcomes of PCI in TASH.
Methodology: A retrospective cross sectional study was conducted on coronary angiography
findings and outcomes of PCI at TASH using structured questionnaire from January 1/ 2017 to
December 1 / 2020. Datas were analyzed and interpreted using SPSS version 26 software.
Result: Coronary angiography was done for 149 patients, of which, 124 (83.2%) patients were
males and 25 (16.8%) patients were females with the age range of 24 to 88 years. The median
age was 52 years with mean ages of 53.2+ 12.46, the most frequent age stratum being 45 to 55
years. ACS was the clinical diagnosis in 68 (45.6 %) of patients, of which 51 patients (34.2% of
the total) had STEMI. With catheterization, 108 (72.5%) patients had evidence of CAD, of
which, 41 (37.9%) patients had multivessel disease. PCI was done for 60 (40.2%) patients and
TIMI III was achieved. The in hospital mortality was 0.67%. In a bivariate analysis, Diabetes
was associated with multi-vessel disease (P=0.016), (COR 3.04 ) 95% CI(1.23-7.51).
Conclusion: CAD in Ethiopia occurs early in lfe mainly involving LAD and is associated with
adverse consequences. PCI has been shown to have low complications and low in hospital
mortality making it a safe procedure.
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Keywords
Coronary angiography, PCI, TASH